20D0706539 CLIA NUMBER - MAINEHEALTH PRIMARY CARE FAMILY MEDICINE LIVERMORE FALLS

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  • CLIA Code: 20D0706539
  • Facility Name: MAINEHEALTH PRIMARY CARE FAMILY MEDICINE LIVERMORE FALLS
  • Facility Address: 21 MAIN STREET
    LIVERMORE FALLS, ME
    ZIP 04254
  • Facility Phone: 207 779-2271
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: HEIDI DECKER
  • NPI Number: 1811451081
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D0706539
LAB Type Rural Health Clinic
Facility Name MAINEHEALTH PRIMARY CARE FAMILY MEDICINE LIVERMORE FALLS
Street 21 MAIN STREET
City LIVERMORE FALLS
State ME
ZIP 04254
Phone 207 779-2271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director HEIDI DECKER

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This page was last updated on: 9/29/2025